Applying for HIPP Benefits

There are three ways to apply for Alaska HIPP benefits!

Send the completed application and documents by:

Fax: 907-561-4435, or
Mail: HMS
Attn: HIPP Unit
4710 Business Park Blvd, Ste F-24
Anchorage, AK 99503
Email application:

You must be able to provide the following Information:

  • Policyholder’s name, Social Security number and date of birth
  • Policy number and group number of the employee sponsored insurance
  • Employer and employee share of premium cost
  • Medicaid and/or Denali KidCare identification number(s)
  • Insurance card (front and back)
  • Summary of benefits for the plan or desired plan
  • Employer health insurance rate sheet
  • Paystub if it shows premium deduction
  • EOBs for all applicants currently covered under the employer sponsored health insurance for the past 12 months upon request